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Life & Wisdom Quote by Susan Sontag

"Any important disease whose causality is murky, and for which treatment is ineffectual, tends to be awash in significance"

About this Quote

Mystery plus powerlessness is a perfect incubator for meaning. Sontag’s line skewers a recurring cultural reflex: when medicine can’t give us clean causes or reliable cures, we recruit symbolism to plug the gap. The “awash in significance” phrasing is doing sly work. It suggests not a careful search for truth, but an overflow, a flooding - excess interpretation pouring over the patient until the illness becomes less a biological event than a moral narrative.

The intent is corrective, even disciplinary. Sontag is warning that murky causality invites story-making, and story-making quickly becomes judgment. If a disease can’t be neatly traced, the imagination steps in with blame: lifestyle, character, desire, contamination, weak will. If treatment is ineffectual, the stakes rise; metaphors start offering a counterfeit control. People can’t cure the body, so they try to “read” it, as if decoding the illness could restore order.

The context, of course, is Sontag’s broader project (most famously in Illness as Metaphor): stripping diseases of the moral and political mythologies that stick to them - cancer as repression, TB as romantic sensitivity, later AIDS as deviance and punishment. Her subtext is that significance is not neutral. It is an instrument. Institutions, media, and even loved ones use the fog around a disease to enforce norms, to manage fear, to separate the “innocent” sick from the “guilty” sick.

The bite of the sentence is its quiet accusation: the more medicine fails, the more culture talks - and the talking can wound.

Quote Details

TopicHealth
Source
Verified source: Illness as Metaphor (Susan Sontag, 1978)
Text match: 100.00%   Provider: Cross-Reference
Evidence:
Any important disease whose causality is murky, and for which treatment is ineffectual, tends to be awash in significance. (Page 58). The quote is consistently attributed in secondary but reputable discussions to Susan Sontag's 1978 book Illness as Metaphor, and a scholarly review specifically cites the combined 1990 edition Illness as Metaphor and AIDS and Its Metaphors at page 58 for this passage. Because AIDS and Its Metaphors was added later, the earlier primary publication is Illness as Metaphor (1978). Multiple later sources also explicitly describe it as appearing in Sontag's 1978 essay/book Illness as Metaphor. The page number most strongly corroborated in accessible sources is p. 58 in later combined/reprint editions; pagination in the original 1978 Farrar, Straus and Giroux edition may differ.
Other candidates (1)
The Krebiozen Hoax (Matthew C. Ehrlich, 2024) compilation95.5%
... Susan Sontag first argued in the 1970s—that cancer represents a potent “metaphor for what is feared or ... any im...
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Citation Formats

APA Style (7th ed.)
Sontag, Susan. (2026, March 8). Any important disease whose causality is murky, and for which treatment is ineffectual, tends to be awash in significance. FixQuotes. https://fixquotes.com/quotes/any-important-disease-whose-causality-is-murky-156057/

Chicago Style
Sontag, Susan. "Any important disease whose causality is murky, and for which treatment is ineffectual, tends to be awash in significance." FixQuotes. March 8, 2026. https://fixquotes.com/quotes/any-important-disease-whose-causality-is-murky-156057/.

MLA Style (9th ed.)
"Any important disease whose causality is murky, and for which treatment is ineffectual, tends to be awash in significance." FixQuotes, 8 Mar. 2026, https://fixquotes.com/quotes/any-important-disease-whose-causality-is-murky-156057/. Accessed 26 Mar. 2026.

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About the Author

Susan Sontag

Susan Sontag (January 28, 1933 - December 28, 2004) was a Author from USA.

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